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[外伤致再植牙的根管治疗时机。]

[Root canal therapy opportunity in replanted teeth due to injury.].

作者信息

Zhang Qi-ying, Wang Xiao-ling, Huang Lin-jiang

机构信息

Department of Dentistry, Shaoxing People's Hospital, Shaoxing 312000, Zhejiang Province, China. swxx001 @163.com

出版信息

Shanghai Kou Qiang Yi Xue. 2004 Oct;13(5):457-8.

Abstract

PURPOSE

To investigate the opportunity of different root canal therapies in replantation of tooth due to injury.

METHODS

49 cases with teeth luxation were randomly divided into three groups. In group A, the pulp was removed before replanted, and calcium hydroxide was filled in root canals and condensated routinely after half a year. In group B, the pulp was removed one week after being replanted. In group C, the pulp was removed until pulp disease.

RESULTS

The effect of group A(81.25%) and B (94.44%) was better than group C (53.33%), P<0.05. And the effect of group A and B was similar.

CONCLUSION

It's an ideal method to replant luxated tooth within 3 hours with removal of pulp tissue, root canal filling with calcium hydroxide one week after replantation of tooth and condensated routine root canal therapy after half a year.

摘要

目的

探讨不同根管治疗方法在牙外伤再植中的应用时机。

方法

将49例牙脱位患者随机分为三组。A组在再植前进行牙髓摘除,根管内常规充填氢氧化钙,半年后进行根管充填。B组在再植后1周进行牙髓摘除。C组待牙髓出现病变时进行牙髓摘除。

结果

A组(81.25%)和B组(94.44%)的治疗效果优于C组(53.33%),P<0.05。且A组和B组效果相似。

结论

牙脱位后3小时内进行再植,同时摘除牙髓组织,再植1周后根管内充填氢氧化钙,半年后进行常规根管充填是一种理想的治疗方法。

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